In this section
Classification & causes
*Most common causes
Ingestion of drugs/toxins/complementary
medicines - see
All cause impaired consciousness.
Ask specifically about:
Assess for presence or absence of associated neurologic abnormalities which suggest life threatening or treatable conditions.
Any child with
should NOT be managed as Acute Cerebellar Ataxia.
o Conscious state, orientation.
o Thorough neurological examination is mandatory
o Vertigo (labyrinthitis, vestibular neuronitis) - Hallpike manoeuvre, ENT.
o Exclude signs of infection
If there is a clear history of Acute Cerebellar Ataxia with preceding viral prodrome, then no investigations may be necessary, however close follow up will be required. If ataxia does not follow the expected time course or if suspect other causes thenconsider:
Those with acute cerebellar ataxia post-varicella/viral illness can be discharged following senior review, and reviewed by a general paediatrician in 1-2 weeks. However those children who have unexplained ataxia require admission for investigation.
Last updated September 2012